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Unusual cause for V pattern XT - The Private Eye Clinic

Unusual cause for V pattern XT - The Private Eye Clinic

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“V” <strong>pattern</strong> ET<br />

Inf displacement of LR<br />

centroid (R>L)<br />

“A”<strong>pattern</strong> ET<br />

LR displaced sup to MR and<br />

SR displaced nasal to IR<br />

Abnormal location of the pulleys could explain many of the cases of<br />

incomitant strabismus, that conventionally attributed to „oblique<br />

muscle dysfunction‟ .<br />

(Joseph Demer, Robert Clark, Joel Miller,- Advances in strabismology)

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